SynthesisBone & joint open2026
Occupational hazards in hip and knee adult reconstruction surgery : a systematic review of physical and psychological stressors.
Synthesis in Bone & joint open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Reduced workload demand with handheld robotic-assisted revision knee arthroplasty: A multi-centre NASA Task Load Index analysis.Journal of experimental orthopaedics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: Adult reconstruction surgeons face unique occupational challenges during joint arthroplasty procedures, including sustained physical demands, ergonomic strain, noise exposure, and psychological pressure from high patient expectations. This systematic review aimed to synthesize existing evidence regarding physical and psychological stressors encountered by surgeons performing hip and knee arthroplasty. Methods: Following PRISMA guidelines, we searched PubMed, EMBASE, Web of Science, and Cochrane Library through to December 2024. Studies evaluating occupational hazards during adult hip and knee arthroplasty were included, focusing on noise exposure, ergonomic challenges, musculoskeletal strain, and robotic-assisted platforms' impact on surgeon performance. Risk of bias was assessed using Appraisal tool for Cross-Sectional Studies (AXIS) and Methodological Index for Non-Randomized Studies (MINORS) tools. Results: In total, 38 studies were included, revealing five key hazard categories. Work-related injury prevalence ranged from 66% to 96.5%, predominantly affecting spine (28% to 34.2%), shoulders, and upper limbs. Risk factors included age > 55 years, high surgical volume (> 100 procedures annually), and > 20 years' practice. CO Conclusion: Arthroplasty surgeons face substantial occupational hazards with high musculoskeletal injury rates, significant noise-induced hearing loss, and considerable physiological demands. While emerging technologies show promise in reducing some physical demands, they introduce new ergonomic considerations, highlighting the need for comprehensive occupational health strategies to ensure sustainable surgical careers.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.